Updates to My Health Record Rules and Regulations
Recent legislative changes have resulted in updates to both the My Health Record Rules and Regulations to ensure the system continues to support safe, secure, and effective healthcare delivery.
What has changed?
The My Health Record Rules 2016 and My Health Record Regulations 2012 have now been uplifted to the My Health Record Rules 2026 and My Health Record Regulations 2026.
Expanded definition: Interoperability Requirements
- As part of the 2026 legislative changes, the definition of Interoperability Requirements has been updated. The term now refers to:
“Interoperability Requirements, for the My Health Record system, means the conformance requirements and standards applicable to that system, published by the Australian Digital Health Agency, as existing from time to time.” - This expanded definition ensures that the My Health Record system continues to conform with the latest standards and requirements, supporting improved information sharing and patient outcomes across Australia.
To meet the Interoperability Requirements for My Health Record, systems must meet the Main Conformance Profiles and relevant Other conformance profiles as well as Standards listed below.
Main conformance profiles
- My Health Record Connecting systems conformance profile
- Clinical Information Systems Connecting to the PCEHR System Conformance Requirements Assisted Registration Amendment
- Clinical Documents Common Conformance Profile
- My Health Record Connecting System Security Conformance Profile
- CDA Rendering Specification Clinical Documentation
- Clinical Package Clinical Document
- CDA Package Clinical Documents
Other conformance profiles
- eHealth Dispense Record My Health Record Conformance Profile
- eHealth Prescription Record My Health Record Conformance Profile
- Pharmacist Shared Medicines List My Health Record Conformance Profile
- Shared Health Summary My Health Record Conformance Profile
- Goals of Care My Health Record Conformance Profile
- Advance Care Planning My Health Record Conformance Profile
- Australian Immunisation Register My Health Record Conformance Profile
- Aged Care Support Plan My Health Record Conformance Profile
- National Secure Messaging Network Conformance Profile
- Event Summary My Health Record Conformance Profile
- Specialist Letter My Health Record Conformance Profile
- Discharge Summary My Health Record Conformance Profile
- eReferral My Health Record Conformance Profile
- eHealth Prescription and Dispense View PCEHR Conformance Profile
- Medicare Overview PCEHR Conformance Profile
- Australian Organ Donor Register PCEHR Conformance Profile
- Pharmaceutical Benefits Report PCEHR Conformance Profile
- Medicare/DVA Benefits Report PCEHR Conformance Profile
- Observation View PCEHR Conformance Profile
- Health Check Schedule View PCEHR Conformance Profile
- Health Record Overview PCEHR Conformance Profile
- eHealth Diagnostic Imaging Report View PCEHR Conformance Profile
- eHealth Pathology Report View PCEHR Conformance Profile
- eHealth Pathology Report My Health Record Conformance Profile
- eHealth Pathology Report (pathology PDF only) - My Health Record Conformance Profile
- eHealth Diagnostic Imaging Report Record My Health Record Conformance Profile
- Personal Health Summary My Health Record Conformance Profile
- Advance Care Document Custodian My Health Record Conformance Profile
- Personal Health Notes My Health Record Conformance Profile
- Aged Care Transfer Summary - Conformance Profile
Standards requirements
- SNOMED CT-AU and Australian Medicines Terminology – in accordance with the Australian National Terminology Licence Agreement, monthly NCTS releases must be implemented within 30 days for production use and 90 days for non-production use.
- AU Clinical Data for Interoperability (AUCDI) – the reference for FHIR data content shared with My Health Record where its scope covers the information being uploaded. The specific version will be specified in the relevant Implementation Guides (IGs) and conformance profiles.
- AU Core – required for all FHIR connections to My Health Record. The specific version will be specified in the relevant Implementation Guides (IGs) and conformance profiles.